Makale Arama

Caloric induced nystagmus slow phase maximuın velocities were ıneasured in 44 palients who suffered from migraine. Obtained values were higher ihan normal ones. Especially responsiveness to the stimulation of 44°C was noticibly high. Whaiever the mechanism, tlti,s results indieated that vestibular sensibilitv was increased.

Certain psychiatric symptoms such as dissociative disorder, anxiety, and depression are more prevalent in migraine patients than in the rest of the society. Identification of these symptoms is important for the treatment success. We define the purpose of our study as the comparison of the levels of dissociative symptoms, anxiety, and depression between patients with chronic migraine and normal individuals, and the analysis of these levels for their relationship with the demographic properties such as severity of pain and frequency of attacks. The study included 77 female patients with chronic migraine who applied to the neurology polyclinic with the complaint of headache and were diagnosed by the criteria defined by International Headache Society, and 44 healthy volunteers with similar age and educational level with those patients. Both groups were applied Short Dissociative Experiences Scale (DES-Taxon), Somatoform Dissociation Questionnaire (SDQ), Beck Anxiety Scale (BAS), and Beck Depression Scale (BDS) by a psychologist. Demographic and clinical properties and Visual Analog Scale (VAS) results of patients with identified types of migraine were recorded. The scale results of patients with migraine and of the control group, and between the patients of migraine aura and without aura were compared. The results were compared by T-test and Pearson Correlation for the independent group. Dissociative symptoms was more common in the group with migraine (p=0,001). While this increase was correlated with depression and severity of pain, it was not correlated with anxiety. There was not any significant difference between migraine patients of migraine with aura and without aura, statistically. The results of this study reveals that the frequency of dissociative symptoms is higher in patients with migraine than in normal population. This difference was found to be in correlation with depression and VAS score. According to these data, it is important for the success of treatment and prevention of disability to question the symptoms of dissociative symptoms in patients with chronic migraine

Neurophysiological studies have shown decreased excitability of the brain stem inhibitory interneurons in patients with headache. The C3 component of the trigemino-cervical reflex is nociceptive in character and may reflect the brain stem interneuron activity. This reflex is evoked by stimulation of the supraorbital nerve and recorded from the neck muscles. VVe recorded this reflex in 16 patients with migraine without aura and in 20 healthy subjects. There was not significant difference in latencies and amplitudes betvveen the two groups. VVe concluded that there is not decrease in brain stem inhibitory interneuronal activity İn migraine and this mechanism may not be responsible from pain control.

Aim: According to the neurovascular theory, stimulation of the trigeminovascular system is the cause of neurogenic inflammation and pain in migraine. The blink reflex that is elicited by supraorbital stimulation of trigeminal ophthalmic division is a useful method to study the functioning of trigeminal system. The purpose of this study was to examine the blink reflex in migraine patients. Material and method: In this study, blink reflex latencies were evaluated in 25 migraine patients (average age 34,76±8,23 yrs) and compared to those of 25 healthy controls (average age 35,5±8 yrs). Statistical analysis was performed using unpaired Student t test. Results: Results obtained from migraine patients were as follows; ipsilateral latency component R1:11,22±1,64 msec, ipsilateral latency component R2:31,33±4,12 msec, contralateral latency component R2:33,12±5,18. Results obtained from healthy controls were as follows; ipsilateral latency component R1: 10,21±1,42 msec, ipsilateral latency component R2 31,09±2,4 msec, contralateral latency component R2: 32,31±3,34 nmsec. Ipsilateral R1 latencies were found to be significantly prolonged than those of the healthy controls. Conclusion: The results might suggest a dysfunction in trigeminal networks in brainstem bof migraineurs and support the trigeminovascular theory of migraine.

Migraine is a frequent headache disorder in the population. The aim of this cross-sectional study was to document demografic and clinical features of subjects with migraine headache who admitted to the outpatient department of a university hospital in Konya. The study included 206 patients diagnosed as migraine according to the 2004 International Headache Society criteria and 218 healty controls of identical sex, age, marital status and education level who did not suffer from frequent headaches other than tension type with a frequency of not more than once a month. Using a questionnaire, we evaluated patient demographics, characteristics of migraine headache, family history and associated symptoms in 206 migraine pattients. 173 woman and 33 men were evaluated. The male:female ratios of migraine patients were 1:5. The mean age at consultation was 37.02±10.40 years. Of the 206 patients, 64.4% met criteria for migraine without aura, while 35.4% met criteria for migraine with aura. Most of the women were of lower educational level. Approximately half of the patients had severe and more than 3 attacks per month. Attack treatment was used frequently. Result of the study confirm that migraine is a more common disorder in women with lower educational level. In additon; this article emphasizes the need for informing patients of the hazards of drug overuse.

HaNDL syndrome is a rare syndrome mimicking migraine and stroke with lymphocytosis in the CSF, migraine-like moderate or severe headaches and transient neurological deficit. In this article, we present a 26-year-old male patient with headache, transient neurological deficit and CSF lymphocytosis who was diagnosed as HaNDL Syndrome.

Cyclic vomiting syndrome (CVS) is characterized by recurrent episodes of nausea and vomiting. Age at onset of symptoms ranges between 4–6 years and there is a female predominance. CVS attacks are generally associated with psychosocial or physical triggers. In last years a shared pathophysiology between migraine and CVS has suggested. Children with CVS and their mothers have elevated rates of anxiety disorders. In this report, we presented a 5-year-old girl who referred to our out-patient clinic because of recurrent vomiting episodes. Because of her anxiety symptoms and vomiting attacks, escitalopram, a selective serotonin reuptake inhibitor, was initiated and she had significant improvement during treatment.

Aim: In this case report, it is aimed to discuss the ‘HaNDL Syndrome’ with the relevant literature. Case Report: A 20 year-old woman was admitted to the emergency department with left-sided, severe, throbbing headache accompanied with nausea, vomitting, sonophophia and phonophophia. Approximately 30 minutes after the pain emerged, she had suffered numbness and mild paresis on the right side of the body including the right side of her face accompanied with difficulty in speech which improved in approximately 20-25 minutes. She reported that 2 weeks prior these symptoms, she had suffered severe nausea and diarrhea that had lasted for 3 days. A diagnosis of viral gastroenteritis had been made and supportive therapy had been advised by a doctor. In the clinic, spinal tap was performed which revealed lymphocytic pleocytosis and mild elevation of protein level (49 mg/dL). Brain computerized tomography and the contast MR were normal. After the exclusion of other conditions which may cause CSF pleocytosis and severe headache; a diagnosis of HaNDL Syndrome was made. Conclusion: Recognition of this bening syndrome, is important as performing a diagnostic angiography may cause severe complications.

HemiField Pattern Visual Evoked Potentials in Migraine Patients Some results of visual evOked potentials (VEP) obtained froın migraineus patients have importantly contributed to the discussion of pathogenetic process in migraine. Especially the results indicate to hemi-spharical asymetry in both latency and amplitute of VEP are notabk. Bioccipital cortical revonses to visual herni-field pattern were recorded in 22 migraine patients and in 22 healty control subjects who both groups are 20- 25 years old. Aınplitude and latency values were sta-tistically analysed (Student's test) VEP's latencies and amplitudes recorded from Ol and 02 (Ipsilateral records) in nonclassical migraine group were langer and higher than those of classical migraine group (p<0.05). This result is highly parel-lel to the ones in the relevant literature. It is sug-gested that the left hemisphere is more sensitive than the right due to the fact that it has more neurotran-smitter content. In addition to this results Fast back-ground activity was recorded in 90% of migraine pa-tients. This observations as in the literature possibly suggested to be an electrodiagnostical helpfull method in migraine patients in first and second decades.

In this study visually evoked cortical potential re-sponsc.N obtained from 46 migraine patients (9 males and 37 _females) and a sufficient number of control cases. Amplitude and latency values of P100 waves were statistically analysed. VEP atnplitüde values of painful and painless periods of the whole group were compared. Values from painful periods were found to be higher than those obtained from painless periods (p<0,05). Iligh values of VEP amplitude in migraine pa-tients is a finding frequently mentioned in literature and is ascribed to excitability of the retina and occip-ital cortex. Our results were found to be consistent with the literature.

In this study brainstem auditory evoked potential (BAEP) responses were obtained from 45 migraine patients (consisting of 8 males and 37 females) and a sufficient number of control cases. Peak latencies (I, II, III, IV and -V) and interpeak latencies (1411, I-V) were calculated and analysed statistically. Latency values of the tıvo group (migraine pa-tients and controls) were compared. We found no sta-tistically signıficant difference between the values of migraine patients (in painless and painful periods) and the controls. In unilateral headaches comparing BAEP latency values of painful and painless sides of head was of no statistically dillerence. Our results were evaluated in the light of the relevant literature